理气汤在妇科手术后促进胃肠功能恢复的临床研究

Clinical study on Liqi Decoction for the recovery of gastrointestinal function after gynecological operation

目的:妇科腹部手术后腹胀是常见的临床症状,术后进食差,恢复慢影响患者的愈后,理气汤通过内在调理脏腑功能有效的促进胃肠功能的恢复,减轻腹胀。方法:本研究选取2013年12月到2014年12月期间就诊于我院妇科住院行开腹手术的患者60例,随机分为两组:治疗组30例;对照组30例。对照组采取术后第1 d常规200 ml温盐水灌肠疗法治疗;治疗组在200 ml温盐水灌肠基础上加服理气汤。连续口服用药3 d为1个疗程。对比两组的临床腹胀症状,排气时间的变化。结果:治疗组、对照组均能有效地缓解术后临床腹胀症状,两者相比无显著性差异(P>0.05);但治疗组总治愈率明显高于对照组,差异性显著(P<0.05);治疗组术后3 d内肛门排气时间明显短于对照组,两组比较,差异有显著意义(P<0.05)。结论:理气汤能有效的促进妇科腹部术后胃肠功能恢复,减轻腹胀,缩短排气时间,值得临床推广应用。

Objective：Abdominal distention is the most common symptom after gynecological operation.Poor appetite impacts the recovery of patients.Liqi Decoction can promote the recovery of gastrointestinal function by the internal conditioning viscera function in order to relieve abdominal distention.Methods：60 cases after gynecological operation during December,2013 to December,2014 in our hospital were randomly divided into two groups：the treatment group with 30 cases and the control group with 30 cases.Patients in the control group were treated with the conventional 200 ml warm saline enema therapy on the first day after the operation,while patients in the treatment group were treated with 200 ml warm saline enema combined with Liqi Decoction for 3 days as a course.The symptoms of abdominal distention and evacuation time of the two groups were compared.Results： The symptoms of the treatment group and the control group were effectively relieved with no significant difference （P〉 0.05）;the total cured rate of the treatment group was obviously higher than that of the control group with significant difference（P〈 0.05）;the evacuation time after 3 days of operation in the treatment group was markedly shorter than that of the control group.Compared with the two groups,the difference was significant （P〈0.05）.Conclusion：Liqi Decoction can effectively promote the recovery of gastrointestinal function after abdominal surgery,relieve abdominal distention and shorten the exhaust time,which is worthy of clinical application.